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2013年08月13日
WenYangYi mind to treat atrial fibrillation
Cao Hongxin China academy of traditional Chinese medicine
China's traditional Chinese medicine to
Atrial fibrillation (af) is a common arrhythmia, its incidence after sinus arrhythmia and before contraction, third for arrhythmia. Seen in a variety of cardiovascular diseases, atrial fibrillation category, such as the Chinese medicine palpitation, the palpitation. Can appear cardiac nervous, the symptom such as dizziness or fainting, and can cause the changes of cardiac structure and function, worsen hemodynamic status, influence the quality of life, even life threatening. Hemodynamic changes caused by atrial fibrillation, easy cause atrial mural thrombus formation, therefore, incidence of atrial fibrillation in patients with cerebral embolism is 4 ~ 7 times that of sinus rhythm, a serious threat to people's health.
The author on the basis of a large number of clinical practice, using the method of WenYangYi mind af achieve good curative effect, the main experience is briefly as follows.
Heart Yang deficiency is the basic pathogenesis
Clinical studies have confirmed that heart Yang deficiency is often witness atrial fibrillation. Onset atrial fibrillation, atrial systolic function is lost, irregular ventricular contraction, cardiac output, this pathological state is closely related to the lack of heart sun be the spirit.
The author analyze the clinic syndromes 30 patients with atrial fibrillation: both belong to weak heart Yang deficiency, head loss, and chest Yang weakness, lack of a better mousetrap, the two certificate in 19 (63.3%), its main performance for heart palpitations, shortness of breath, chest tightness, lack of power, particularly, limbs cold, chills, tongue baby fat, whitish, pulse sink slowly or knot generation performance of heart Yang deficiency; Or chest pain or oppressed, often suppress awake at night, limb temperature not symptoms such as chest Yang, depressed.
Heart belongs to fire, in the chest, chest for Yang, fire for Yang, two Yang agree, so the heart of the sun in the "Yang". So the heart beats, from birth to death, sun be the spirit is the basis for the maintenance of cardiac function. Yin cold pathogens such as feeling cold or cold evil, or take out a product, internal injuries sun be the spirit; Or a long illness in delay and the sun be the spirit by consumed; Or because of old age, and endowment, weak, and so on, all can damage the heart of the sun be the spirit and heart Yang deficiency, wander dereliction of duty, blood syndromes.
Although, the shortage of heart sun be the spirit is the main pathogenesis of atrial fibrillation. But due to the complexity of the symptoms of atrial fibrillation, especially when the onset of atrial fibrillation, heart Yang deficiency syndrome is often cover up by the lack of. The author realize the clinical observation, parts of atrial fibrillation in patients with no obvious sun be the spirit is weak to begin with, and often is phlegmy heat, phlegm and blood stasis, qi and outstanding performance, such as such as chest is away, the area before the heart hurt (parts is fixed), dark red tongue or phlegm turbidity and blood stasis symptom such as fat. But after treatment, after atrial fibrillation under control, with the reality of symptoms, heart palpitations, shortness of breath, chills, cold limbs, pale tongue moss white sun be the spirit, such as weak pathological nature is clearly shown.
WenYangYi mind as the basic therapeutic principle
Through the analysis of the clinical syndrome in patients with atrial fibrillation evolution process, the author established the basic principles for the treatment of atrial fibrillation, namely WenXinYang, good mood, town of nerves. Combined with cardiac pathological changes and see the actual situation and characteristics of syndromes, atrial fibrillation of WenYangYi mind.
Party of ginseng tonic qi, tonifying spleen, benefit lung, sedative puzzle, "the cold-induced febride has" five zang-organs, spirit, and horrified "effect. Modern pharmacology has proved that strong heart, anti-arrhythmic effects of ginseng, cassia twig wen tong Yang, help returning pulse. Scallions white qi wide bosom, tong Yang fights; Dwarf lilyturf Yin runfei, call except vexed, "Ben hui said" "medicine also nourish the lung, the lack of a better mousetrap, palpitation, forgetfulness, trance."
Pinellia tuber dry wet phlegm, inverse anti-nausea and new fights, fructus embellish lung phlegm, and pinellia ensemble open chests are inverse, phlegm and drop with XuanChang heart arteries and veins. Magnolia officinalis temperature lower gas and dry wet phlegm elimination, Ye Tianshi cloud: its many broken gas, using less tong Yang. Rhizoma coptidis qingrejiedu, purging fire dry wet, can clear the muggy, making the drugs XinWen sex, the disadvantages of air-conditions Yin.
Heart god for atrial fibrillation is uneasy, reason often associated with sleep, sleep, much dream wait for a symptom, so use raw keel tranquilize mind, raw oysters to dive the folding of the Yin Yang, the mother of pearl flat liver Yang arresting convulsion. Licorice to reconcile the medicine. The fungicides, WenXinYang, good mood, and qi phlegm, the town of nerves, specimens, give attention to two or morethings righting to eliminate pathogenic, pathogens remove returning the mind.
Atrial fibrillation in patients with symptoms of weight is differ, the clinical manifestations: complicated if see heart heat, tenderness, yellow or yellow greasy coating on the tongue, pulse string slip or sliding and disease is phlegmy heat indicates performance, such as bamboo shavings, rhizoma anemarrhenae heat phlegm. If you see rou GUI detained pain for the taste cold, cold, and evodia rutaecarpa, fennel, etc to cold temperature.
If see lower back pain, cold limbs, since the disease is kidney Yang deficiency failure such as sweat, plus medicinal indianmulberry root, such as curculigo in kidney and cold pain. If meet vain, limb swelling, urination, whitish tongue baby fat slippery for wet resistance performance, alisma, big belly skin, motherwort and water swelling, etc.
If see spontaneous sweating, night sweats, dry mouth, hand, foot and heart heat, little red tongue moss is qi and Yin, and fructus schisandrae, rhizoma polygonati, etc to yiqi fluid. If see upset irritability for diseases with shu or something on inflammation, add to shu diseases with radix curcumae, radix bupleuri, etc. If you see a headache, dizziness, high blood pressure and other liver Yang syndrone, plus the selfheal, cassia occidentalis with flat liver Yang.
Clinically, patients with atrial fibrillation is common and promote of arteries and veins, arteries and veins, generation of arteries and veins, arteries and veins, arteries and veins, etc., or alternating knot, promote, or such as rope, sparrow pecking. Junction of arteries and veins in atrial fibrillation ventricular rate slower, more promote the pulse number can be found in rapid ventricular rate of atrial fibrillation, especially paroxysmal atrial fibrillation, must observe carefully pulse condition changes. Common arrhythmia in accordance with law of abnormal performance of arteries and veins, also have the same kind of pulse condition seen in different kinds of arrhythmia, and a kind of arrhythmia and can appear the situation of different pulse condition, reason should be four arguments, comprehensive syndrome differentiation.
Atrial fibrillation treatment should focus on cultivating heart and not specifically designed to treat heart, should be a better mousetrap, WenXinYang is given priority to, for the weight of the phlegm turbidity and blood stasis, and qi stagnation should be comprehensive. The advantage of traditional Chinese medicine treatment of atrial fibrillation is to improve symptoms, improve the quality of survival, to control the onset of atrial fibrillation, especially paroxysmal atrial fibrillation effect is remarkable.
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